Shirley Y Sherwood, LCSW AAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

505976 Issued in TX

Practice address

902 Crystal Falls Pkwy
Leander, TX 78641-3646

Phone

(512) 421-4023

Fax

(512) 259-2290

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Shirley Yang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1750490488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CRYSTAL FALLS PKWY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413646",
            "telephone_number": "512-421-4023",
            "fax_number": "512-259-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CRYSTAL FALLS PKWY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413646",
            "telephone_number": "512-421-4023",
            "fax_number": "512-259-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "SHIRLEY",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "LCSW AAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "505976",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "10620800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0088CT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "YANG",
            "prefix": "MISS",
            "credential": "LMSW, ACP, CCDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Leander, TX
• Providers in Leander, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.